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NPI Code Detail

MEDICARE: MRS. MICHELLE ANGELINA GIBLIN FNP-C

MEDICARE: MRS. MICHELLE ANGELINA GIBLIN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerARNP9475056FL
2363LF0000XFamily Nurse PractitionerAP 4871AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174966782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE ANGELINA GIBLIN FNP-C
Provider Business Mailing Address
First Line : 1477 W COMMERCE CT
Second Line :
City : TUCSON
State : AZ
Zip : 85746-6016
Country : US
Telephone Number : 520-792-3293
Fax Number : 520-792-4336
Provider Business Practice Location Address
First Line : 8050 E LAKESIDE PKWY
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1254
Country : US
Telephone Number : 520-584-5820
Fax Number : 520-514-1514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2013
Last Update Date : 02/06/2026

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